{"id":86243,"date":"2000-06-09T00:00:00","date_gmt":"2000-06-09T00:00:00","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/el-managed-care-en-el-sistema-sanitari-catola\/"},"modified":"2000-06-09T00:00:00","modified_gmt":"2000-06-09T00:00:00","slug":"el-managed-care-en-el-sistema-sanitari-catola","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-economicas\/el-managed-care-en-el-sistema-sanitari-catola\/","title":{"rendered":"El managed care en el sistema sanitari catol\u00e1"},"content":{"rendered":"<h2>Tesis doctoral de <strong> Ernest Sarrias Ramis <\/strong><\/h2>\n<p>Introduccion  el sistema sanitario catal\u00e1n est\u00e1 en un proceso de reforma, similar a los que est\u00e1n viviendo una buena parte de los sistemas sanitarios de todo el mundo, que intenta solucionar problemas como el crecimiento del gasto sanitario (en el contexto de la pol\u00e9mica sobre el estado del bienestar), una creciente preocupaci\u00f3n por la calidad, la insatisfacci\u00f3n de los m\u00e9dicos y el debate sobre el papel profesional de la enfermer\u00eda. Este panorama complejo ha llevado a hablar del managed care como un posible soluci\u00f3n. pero, \u00c2\u00bfqu\u00e9 es el managed care? \u00c2\u00bfQu\u00e9 puede aportar al sistema sanitario catal\u00e1n?.  material y m\u00e9todos  a partir de la revisi\u00f3n bibliogr\u00e1fico, se seleccionan 12 referencias relevantes y se dise\u00f1a un marco conceptual con cuatro grandes apartados o dimensiones: integraci\u00f3n, control, transferencia de riesgo y transparencia. en contraste con los elementos que lo componen se estudia si el sistema catal\u00e1n puede considerarse un entorno de managed care.  resultados  en el sistema sanitario catal\u00e1n los conceptos preponderantes son el control y la integralidad. En la comparaci\u00f3n con los 12 programas se puede observar que en 9 hay porcentajes de cumplimiento del 100%.  conclusiones  no hay una definici\u00f3n \u00fanica de managed care.  las herramientas de gesti\u00f3n m\u00e1s citadas en el managed care son las de revisi\u00f3n de la utilizaci\u00f3n.  los elementos definitorios del modelo sanitario catal\u00e1n son el derecho universal a la asistencia, la separaci\u00f3n de las funciones de compra y provisi\u00f3n (red hospitalaria de utilizaci\u00f3n p\u00fablica), la reforma de la atenci\u00f3n primaria y el consenso.  el modelo sanitario catal\u00e1n coincide en gran medida con las definiciones que se han hecho de managed care por lo que se puede concluir que hay managed care en el sistema sanitario catal\u00e1n.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>El managed care en el sistema sanitari catol\u00e1<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 El managed care en el sistema sanitari catol\u00e1 <\/li>\n<li><strong>Autor:<\/strong>\u00a0 Ernest Sarrias Ramis <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Barcelona<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 06\/09\/2000<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li>Jordi Del\u00e1s Amat<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: lLuis Salleras sanmarti <\/li>\n<li>Jaime Aubia marimon (vocal)<\/li>\n<li>vicente Ort\u00fan rubio (vocal)<\/li>\n<li>  (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Ernest Sarrias Ramis Introduccion el sistema sanitario catal\u00e1n est\u00e1 en un proceso de reforma, similar a los [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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